| NPI | 1174813505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09816800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270739) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2023-04-05 |