| NPI | 1114230141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 266873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09078400) |
| 207R00000X Internal Medicine (Licence: PA MT194989) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2012-10-22 |