| NPI | 1235577206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09857800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 63453) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2024-11-27 |