| NPI | 1710971676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MA05874300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA05874300) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2009-04-06 |