| NPI | 1184677742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS012904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25mb0744700) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-05-26 |