| NPI | 1811943277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me119379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07115100) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-07-02 |