| NPI | 1477583235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 64736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07699000) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2026-05-13 |