| NPI | 1922291566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME DO2557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB08295400) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2016-01-20 |