| NPI | 1134502545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11984700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0012528) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2024-05-30 |