| NPI | 1871889600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10085800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49916) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-04-22 |