| NPI | 1366633612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB08536900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS014040) |
| 207R00000X Internal Medicine (Licence: PA OT011137) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2019-10-07 |