| NPI | 1114587730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB12401300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT019306) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-12-12 |