| NPI | 1912311408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 278898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB10127700) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2019-11-25 |