| NPI | 1902033236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12007800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 052259) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2024-12-13 |