| NPI | 1700818275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB08097700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS10807) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-05-28 |