| NPI | 1710940317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ ma 67105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 211137) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2009-12-17 |