| NPI | 1588831986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25IA12230000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11014239) |
| 207Q00000X Family Medicine (Licence: IN 01068494A) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2024-11-13 |