| NPI | 1275637530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06172600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 158789) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2015-09-10 |