| NPI | 1366533309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA07621100) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: NJ 25MA07621100) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-05-31 |