| NPI | 1184720427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07996000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 228591) |
| 207Q00000X Family Medicine (Licence: NJ 25MA07996000) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-08-11 |