| NPI | 1013177112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09399000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD436263) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2018-08-16 |