| NPI | 1023261112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10734400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD439282) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2020-03-05 |