| NPI | 1194715516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA049502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD044784L) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2021-04-27 |