| NPI | 1073723896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07464100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2257051) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-05-19 |