| NPI | 1881952539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: NJ 25MA11222800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 281039) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2024-07-31 |