| NPI | 1366670473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10134700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01795) |
| 207R00000X Internal Medicine (Licence: NY 265121) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2018-01-16 |