| NPI | 1720063498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07402500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2111931) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2008-02-15 |