| NPI | 1659660785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA10372400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10372400) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2021-04-08 |