| NPI | 1740519834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09754900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09754900) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2024-04-30 |