| NPI | 1700923893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A96139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07963800) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-01-06 |