| NPI | 1467413583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07364500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07364500) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |