| NPI | 1598056079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD480727) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09553100) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2024-07-01 |