| NPI | 1124703475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD495084) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA13082200) |
| 207R00000X Internal Medicine (Licence: PA MT228980) | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2026-06-18 |