| NPI | 1841209673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07281900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 221402) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-05-12 |