| NPI | 1720385503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09291800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271338) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2024-05-22 |