| NPI | 1760829006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10711000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN#18716) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2024-09-26 |