| NPI | 1063624823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA07134000) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MA07134000) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2025-09-03 |