| NPI | 1376871202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08760600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 256036) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2013-10-02 |