| NPI | 1538318142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08468300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD434897) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2010-10-26 |