| NPI | 1205847399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03352200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 131164) |
| 207R00000X Internal Medicine (Licence: ME 008974) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-09-27 |