| NPI | 1760763528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10769000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri02916400) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2023-04-11 |