| NPI | 1700413044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12210800) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: NJ 25MA12210800) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-01-23 |