| NPI | 1154391191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-41089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA70228) |
| 207R00000X Internal Medicine (Licence: FL ME 96999) | |
| 207R00000X Internal Medicine (Licence: IA 41089) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-03-20 |