| NPI | 1053643361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08638600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08638600) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2011-07-26 |