| NPI | 1336580216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 285005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11733200) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2024-06-13 |