| NPI | 1205161197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09544500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE c1-0009183) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2014-09-03 |