| NPI | 1700221223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10159000) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA1015900) |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ 25MA1015900) | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2024-04-30 |