| NPI | 1740441179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2016-01347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ FA1608592) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-08-17 |