| NPI | 1083836894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 237629-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10305700) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-01-26 |