| NPI | 1225237480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB08650700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS022798) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA 0S022798) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2023-12-31 |