| NPI | 1366437220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04518600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA04518600) |
| 208D00000X General Practice (Licence: NJ 25MA04518600) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2008-12-15 |