| NPI | 1841300662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME99950) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25ma07603900) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-10-13 |