| NPI | 1629040084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB07361900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS009621L) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2016-12-05 |