| NPI | 1154609055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09192200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 261607) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2022-07-21 |