| NPI | 1447296736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 237679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07871100) |
| 208000000X Pediatrics (Licence: NJ 25MA0787110) | |
| 208000000X Pediatrics (Licence: NY 237679) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-08-01 |