| NPI | 1346215126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08360000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1677921) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2009-02-25 |