| NPI | 1558539767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08969200) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 007246) |
| 208M00000X Hospitalist (Licence: NJ 25MA08968200) | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2011-08-09 |