| NPI | 1255495495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ MA08588100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD433167) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08588100) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-01-28 |