| NPI | 1174625263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06651200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06651200) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-03-07 |