| NPI | 1942271887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0062731) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB07677000) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2024-12-30 |