| NPI | 1740660133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A172432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10675200) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2021-12-01 |