| NPI | 1235149766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07644300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA07644300) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-11-30 |