| NPI | 1356578041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME137695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09148800) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2021-03-31 |