| NPI | 1982098349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 286258) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10384900) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2023-09-26 |