| NPI | 1841224755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10021900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-114528) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-27 |