| NPI | 1598731754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0014361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA077497) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2021-12-03 |