| NPI | 1174076806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08970100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 290786) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2023-08-28 |