| NPI | 1750811030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101278239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 39) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-08-11 |