| NPI | 1952682973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 00297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09444700) |
| Enumeration Date | 2011-09-03 |
| Last Update Date | 2017-02-21 |