| NPI | 1033560255 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10629400)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03837)  | 
| Enumeration Date | 2016-06-29 | 
| Last Update Date | 2022-02-24 |