| NPI | 1992725857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07781900) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NJ MA07781900) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-02-01 |