| NPI | 1336465848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD443964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08718300) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2017-10-19 |