| NPI | 1912107137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08799400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002859) |
| 207R00000X Internal Medicine (Licence: GA 062816) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-12-16 |