| NPI | 1649429739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10294900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 249571) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2018-08-28 |