| NPI | 1215948641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB08109800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB08109800) |
| 207R00000X Internal Medicine (Licence: NY 218121) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-03-03 |