| NPI | 1730143512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 233061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08007200) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-07-08 |