| NPI | 1881669950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2025-0722) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08180800) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2025-09-18 |