| NPI | 1710929351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07828200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01074853A) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-05-28 |