| NPI | 1821163452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05313800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA53138) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-07-23 |