| NPI | 1184723405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-01098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07953200) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-07-22 |