| NPI | 1255760492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS017276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB09402600) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-09-15 |