| NPI | 1306373485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1017908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 302065) |
| 207R00000X Internal Medicine (Licence: NJ 25mb10708700) | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2024-05-09 |