| NPI | 1619900883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08715800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD429391) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-01-22 |