| NPI | 1982182051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 101092) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB11213900) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2026-06-17 |