| NPI | 1942207600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 235858) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07921900) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2025-07-01 |