| NPI | 1174016349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NJ 25MB11158500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT018666) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2022-03-31 |