| NPI | 1245502822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 50830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446874) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09187100) | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2015-02-12 |