| NPI | 1639529209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-01390) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10634000) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-02-14 |