| NPI | 1093724031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25ma07993400) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NJ 25MA07793400) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-10-03 |