| NPI | 1629363007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10493500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0077957) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2022-04-08 |