| NPI | 1639673239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 310011) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11834900) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-10-16 |