| NPI | 1982166211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 333274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12070500) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-12-13 |