| NPI | 1700879954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07639900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 221742) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2024-04-26 |