| NPI | 1710104922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ MA064780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA064780) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-01-16 |