| NPI | 1568409274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA63059) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: NJ MA63059) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-05-08 |