| NPI | 1083647929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY NYS-227879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07856200) |
| 208000000X Pediatrics (Licence: NJ 25MA07856200) | |
| 208000000X Pediatrics (Licence: NY NYS-227879) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-11-19 |