| NPI | 1912117300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08605300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244886) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-04-25 |