| NPI | 1841458437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09289300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 255018) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2022-11-14 |