| NPI | 1114019676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06145500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA61455) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-05-25 |