| NPI | 1053547745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0098912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09096000) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2024-08-23 |