| NPI | 1124266366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09322600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 267178) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2014-02-13 |