| NPI | 1114221801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME113642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 262700) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08990800) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2021-08-31 |