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 |