| NPI | 1871516443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07902000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA7902000) |
| 207R00000X Internal Medicine (Licence: NJ 25MA07902) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-06-06 |