| NPI | 1770771016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05257000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 160090-1) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2020-10-24 |