| NPI | 1568871754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 33168601) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09967800) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2024-07-31 |