| NPI | 1629217849 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD445323)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08491000)  | 
| Enumeration Date | 2009-02-11 | 
| Last Update Date | 2012-09-11 |