| NPI | 1811221807 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA09930000)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254474)  | 
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101254474)  | |
| Enumeration Date | 2009-09-24 | 
| Last Update Date | 2022-01-31 |