| NPI | 1245682491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 321407) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB10486300) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2023-08-23 |