| NPI | 1982947750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10916200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 282597) |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2023-05-12 |