| NPI | 1932414620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA09193900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09193900) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2024-11-06 |