| NPI | 1396907986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09502800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190503) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-12-02 |