| NPI | 1134175268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 107118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07322700) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2010-10-19 |