| NPI | 1467788703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25mb08657400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255146-1) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2012-08-13 |