| NPI | 1043248131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 65102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 173985) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-02-11 |