| NPI | 1639164486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07514800) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25MA07514800) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA07514800) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2023-04-12 |