| NPI | 1780094003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10149300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 54785) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2017-08-24 |