| NPI | 1669512547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NJ 25MA07888600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 234661) |
| 207Q00000X Family Medicine (Licence: NC 2013-00839) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-03-19 |