| NPI | 1174838130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB09641000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 265560-1) |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2015-08-07 |