| NPI | 1265832190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09942900) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2020-04-07 |