| NPI | 1659832541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11466800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-01808) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-07-16 |