| NPI | 1730575630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10625600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD046249) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-08-27 |