| NPI | 1366609356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08766100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 249499) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2017-02-17 |