| NPI | 1609026640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS012227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB07553000) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2024-07-31 |