| NPI | 1023114261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 79178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06209000) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-10-30 |