| NPI | 1861718223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA10117600) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 269981) |
| 261Q00000X Clinic/Center (Licence: NY 269981) | |
| 282N00000X General Acute Care Hospital | |
| 282N00000X General Acute Care Hospital (Licence: NY 269981) | |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2021-04-22 |