| NPI | 1477917250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine (Licence: NJ 25MA10573000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10573000) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-12-16 |