| NPI | 1427090794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME164380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06655400) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-08-27 |