| NPI | 1083938963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11572700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 265742) |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2024-05-22 |