| NPI | 1720501653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA12083800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64364) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2024-10-27 |