| NPI | 1912130105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25ma08801800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08801800) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2015-04-09 |