| NPI | 1598142523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB10614700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS14202) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2023-08-13 |