| NPI | 1194829069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08370100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247605) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2016-05-31 |