| NPI | 1669591491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07819400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 210225) |
| 207R00000X Internal Medicine (Licence: PA MD059860L) | |
| 207R00000X Internal Medicine (Licence: CA 51779) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-11-23 |