| NPI | 1962551242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07228100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 179769) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-01-17 |