| NPI | 1891808390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08250600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36116763) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-09-10 |