| NPI | 1316000540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA61747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME64262) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-05-28 |