| NPI | 1801186481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09626200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09526200) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2023-03-22 |