| NPI | 1114280260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD470317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11535100) |
| 207R00000X Internal Medicine (Licence: FL ME140851) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2026-03-14 |