| NPI | 1609262179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB10720200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS019488) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2024-04-01 |