| NPI | 1891780243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB07980800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 232148-1) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2010-08-03 |