| NPI | 1073992988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB10873400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016642) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2021-07-23 |