| NPI | 1942865779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25IB13156800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0024086) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2026-09-01 |