| NPI | 1043222128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 055871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA079850) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-07-02 |