| NPI | 1790904134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA10429500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255009) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35.127943) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-06-16 |