| NPI | 1861703118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA11068600) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 312786) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2024-05-03 |