| NPI | 1649404237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA066211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 225652) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |