| NPI | 1942565742 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09690200) | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25ma09690200) | 
| Enumeration Date | 2012-07-08 | 
| Last Update Date | 2022-12-03 |