| NPI | 1750488870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 52504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA64833) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-12-05 |