| NPI | 1477866549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA009210200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196108) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2022-06-03 |