| NPI | 1730612177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A168609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10548900) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-09-21 |