| NPI | 1790944536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08929100) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25MA08929100) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2020-01-09 |