| NPI | 1417034810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME109083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA43525) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-28 |