| NPI | 1023698693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12241700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD484027) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2024-07-09 |