| NPI | 1285911818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09171900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 263276) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2018-10-30 |