| NPI | 1386884419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB08934600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS014186) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2011-06-21 |