| NPI | 1235372889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A106288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440676) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08994600) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2016-12-27 |