| NPI | 1275578619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME110369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04983700) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2018-03-17 |