| NPI | 1346275831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C160379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07519600) |
| 207R00000X Internal Medicine (Licence: NJ 25MA075198600) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-04-16 |