| NPI | 1528298619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 259769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08713700) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2021-12-16 |