| NPI | 1861563736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 192732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 192732) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-11-19 |