| NPI | 1174532402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07973500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 60237666) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-03-17 |