| NPI | 1851581656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08271100) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2023-08-28 |