NPI | 1902132814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 64689) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08643500) |
Enumeration Date | 2009-10-28 |
Last Update Date | 2020-09-14 |