| NPI | 1164926432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11406700) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: NJ 25MA11406700) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-09-26 |