| NPI | 1124183017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08107300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247683) |
| 208000000X Pediatrics (Licence: NY 247683) | |
| 208000000X Pediatrics (Licence: NJ 25MA08107300) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2013-11-12 |