| NPI | 1750325312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MB06278500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB06278500) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-10-19 |