| NPI | 1750551875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09635900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010024518) |
| 207R00000X Internal Medicine (Licence: IL 125052432) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2023-12-01 |