| NPI | 1154854081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 85527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10607000) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2021-11-22 |