NPI | 1780668749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB06902200) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MB069022) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2024-08-07 |