| NPI | 1770743957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10151900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA 435411) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2021-08-20 |