| NPI | 1508829318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08359900) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA0835900) |
| 207R00000X Internal Medicine (Licence: PA MD439522) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA08359900) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2021-07-23 |