| NPI | 1043555493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09284800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25ma09284800) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2022-03-17 |