| NPI | 1891947412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 257127-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB08766000) |
| 208000000X Pediatrics (Licence: NJ 25MB08766000) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2019-07-24 |