| NPI | 1194381038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 320441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11715100) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2025-09-08 |