| NPI | 1942658349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MA10906300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10906300) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-09-29 |