| NPI | 1720213366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO179357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB09038900) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2017-10-11 |