| NPI | 1730107939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05474400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 164031) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-09-06 |