| NPI | 1700237393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C199465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25ma10796800) |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2025-08-30 |