| NPI | 1174987739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11742400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 297176) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-05-11 |