| NPI | 1154684272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10779700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264840) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2022-05-03 |