| NPI | 1346537362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09074500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 265639) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2021-10-21 |