| NPI | 1326023557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD449425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 210583) |
| 207R00000X Internal Medicine (Licence: NY 249847) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA08264100) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-08-19 |