| NPI | 1881699528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07761000) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25Ma07761000) |
| Enumeration Date | 2005-06-18 |
| Last Update Date | 2023-10-02 |