| NPI | 1407116452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD471307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10444900) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-03-25 |