| NPI | 1174623508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ MA69513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06951300) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2017-03-13 |