| NPI | 1568690642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09084700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01754) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2012-08-13 |