| NPI | 1760526149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09571300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 253914) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2023-02-23 |