| NPI | 1366889420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10774900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD15315) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2020-05-01 |