| NPI | 1669826053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 26NJ00623400) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NJ 26NJ00623400) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2020-02-01 |