| NPI | 1497701676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09031000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 211468) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-09-12 |