| NPI | 1932202850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 1636291) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: NJ 25MA04267400) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-12-02 |