| NPI | 1235652652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA12289900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.030529) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2025-07-25 |