| NPI | 1083980023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10284700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 278996) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2019-07-10 |