| NPI | 1972997989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10611900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10611900) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2019-08-14 |