| NPI | 1558396143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD430672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06664400) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-03-02 |