| NPI | 1871551275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08287200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 227249) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-04-23 |