| NPI | 1740357953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA08529400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0007638) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-04-25 |