| NPI | 1679818470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC VL 47) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA03621700) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |