| NPI | 1316028921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA61126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD052005L) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-12 |