| NPI | 1942636626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 193400000x) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA09769600) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2023-07-19 |