| NPI | 1831199645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07432500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 226398) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2018-12-05 |