| NPI | 1497133318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12179000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD463945) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2025-06-10 |