| NPI | 1730258070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09633000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.088771) |
| 207Q00000X Family Medicine (Licence: TX M0698) | |
| 207Q00000X Family Medicine (Licence: AR E-12008) | |
| 207Q00000X Family Medicine (Licence: CT 62443) | |
| 207Q00000X Family Medicine (Licence: PA MD466953) | |
| 207Q00000X Family Medicine (Licence: LA 312640) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-01-30 |