| NPI | 1467447862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 192459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07850800) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2014-01-16 |