| NPI | 1205298940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10647700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT210552) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-09-06 |