| NPI | 1679810964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25BM09711300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272494) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2021-03-08 |