| NPI | 1194928879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08185200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244358) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2018-06-26 |