| NPI | 1598189789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09887500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0012750) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2025-08-04 |