| NPI | 1750874277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA12590900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2019046477) |
| Enumeration Date | 2018-06-09 |
| Last Update Date | 2025-05-06 |