| NPI | 1821296153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 048375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB08905300) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2024-01-26 |