| NPI | 1649466277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08591300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 253701) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2019-09-13 |