| NPI | 1912157603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD P23415) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA09050200) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2012-06-11 |