| NPI | 1013112911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08483900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD488879C) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2025-07-31 |