| NPI | 1174758668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA08767200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247188) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08767200) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2012-08-15 |