| NPI | 1457414526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 242701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08197400) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2016-01-19 |