| NPI | 1972044188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12330200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 66368) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2025-01-09 |