| NPI | 1205281326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 299440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11341000) |
| 207R00000X Internal Medicine (Licence: VA 0101277557) | |
| 207R00000X Internal Medicine (Licence: CT 70153) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 1992372403) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 1043889967) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 1992372403) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-02-09 |