| NPI | 1538543988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09717300) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA09717300) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2020-02-21 |