| NPI | 1275909608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 285080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09783900) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2021-03-26 |