| NPI | 1851422687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07425300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07425300) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-06-08 |