| NPI | 1932481546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09565400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 270011) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2017-02-03 |