| NPI | 1013440247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11060000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S7931) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2021-09-26 |