| NPI | 1952983090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY F348772-01) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 2021027478) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NY F348772-01) | |
| 207R00000X Internal Medicine (Licence: NJ 26NJ01157600) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F348772-01) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ01157600) | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2022-10-26 |