| NPI | 1528020062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA08605100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238172) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2010-10-21 |