| 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 |