| NPI | 1952562381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 257663) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 14966) |
| 207Q00000X Family Medicine (Licence: NJ 25MA08630600) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2023-05-26 |