| NPI | 1992706733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA07290200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002283) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2008-11-03 |