| NPI | 1366721698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA09912700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 28,550) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2016-08-03 |