| NPI | 1356492433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09756200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 242255) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2023-07-01 |