| NPI | 1679591242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME98589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06871200) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-08-29 |