| NPI | 1396997060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 16362) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NJ 25MA06539200) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2013-10-07 |