| NPI | 1518983030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS013238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB07896100) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-10-29 |