| NPI | 1639308919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q8706) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX Q8706) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX Q8706) | |
| 207P00000X Emergency Medicine (Licence: TX Q8706) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA09149800) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2024-10-01 |