| NPI | 1033154679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0083766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA42864) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-03-05 |