| NPI | 1780147744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12203700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 22639) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-08-19 |