| NPI | 1710910930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA04243300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME94343) |
| 207R00000X Internal Medicine (Licence: PA MD437271) | |
| 207R00000X Internal Medicine (Licence: NY 151662) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-10-10 |