| NPI | 1881129385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 304919) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB11977200) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2024-05-09 |