| NPI | 1538163928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07030000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA70300) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2023-04-26 |