| NPI | 1245729631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 72442) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ P19-00463) |
| 207R00000X Internal Medicine (Licence: GA 89886) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA11229500) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2023-04-19 |