| NPI | 1245466929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A13199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09408000) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2015-09-29 |