| NPI | 1215498050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12215400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A177806) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-09-10 |