| NPI | 1538460498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25ma09608400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 31816) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2020-11-13 |