| NPI | 1154366805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 5MA08113000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042698) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: NJ 5MA08113000) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2024-06-03 |