| NPI | 1962708263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 260394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25ma09581700) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2014-11-24 |