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 |