| NPI | 1962598003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08348100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME149727) |
| 207R00000X Internal Medicine (Licence: ME 016260) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-05-25 |