| NPI | 1700330628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 304897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10534600) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2024-02-10 |