| NPI | 1578503942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ MA41607) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 308186) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-11-29 |