| NPI | 1881889277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 89615) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB09310600) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2022-07-13 |