| NPI | 1497243307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB11435900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 83756) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2025-09-24 |