| NPI | 1356429625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME129980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08136600) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-03-10 |