| NPI | 1396728606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MB67859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 311932) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2024-06-14 |