| NPI | 1710917653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME138977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07927200) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-02-15 |