| NPI | 1487646444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA49146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 181802) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ MA49146) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 181802) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2007-07-08 |