| NPI | 1992883557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08546700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83392) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-11-23 |