| NPI | 1306881602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA071211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07121100) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2023-05-31 |