| NPI | 1578578340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 051941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07481900) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2013-10-22 |