| NPI | 1912931791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-01849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA065103) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-11-26 |