| NPI | 1295085702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10264700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 262341) |
| 207R00000X Internal Medicine (Licence: RI LP02680) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2026-05-21 |