| NPI | 1487895363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09454400) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MI 43010902550) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2022-07-21 |