| NPI | 1225425622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11966400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME135375) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-10-02 |