| NPI | 1376926675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12752200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD24130) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2025-07-29 |