| NPI | 1518452564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OT018781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ OT018781) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-07-18 |