| NPI | 1659307643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10173800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2008-00060) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-08-06 |