| NPI | 1699810234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 226768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA0757400) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-05-24 |