| NPI | 1184848715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 1685261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04536500) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2013-09-05 |