| NPI | 1306533211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS025974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB12840100) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2026-07-06 |