| NPI | 1548601594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10571100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54721) |
| Enumeration Date | 2013-07-07 |
| Last Update Date | 2020-11-19 |