| NPI | 1457931032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12149100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD484207) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-12-22 |