| NPI | 1578763033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA10041500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 51074) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2019-07-03 |