| NPI | 1598954604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09681800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440529) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2016-03-29 |