| NPI | 1245867472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12755500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U6792) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-09-17 |