| NPI | 1972525954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 216680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA066430) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-05-18 |