| NPI | 1376037457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11854100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD473797) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2025-01-13 |