| NPI | 1184668428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 234003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07848100) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-12-11 |