| NPI | 1083996003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08998200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 262245) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2012-04-30 |