| NPI | 1154557460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB09649500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266421) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2024-12-16 |