| NPI | 1265812689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11315600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 297622-1) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2024-06-10 |