| NPI | 1407918550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08195000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD430423) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2014-02-11 |