| NPI | 1962815456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10217100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-9584) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2018-01-23 |