| NPI | 1538153531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05097900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA050979) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2012-12-27 |