| NPI | 1265452841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS013333) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB08695100) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-07-29 |