| NPI | 1952821993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA12522500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125071262) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2026-04-15 |