| NPI | 1275851834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD459338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271154) |
| 207R00000X Internal Medicine (Licence: NJ 25ma09966400) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2017-04-17 |