| NPI | 1639159742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06021600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA060216) |
| 207R00000X Internal Medicine (Licence: PA MD429872) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2022-03-16 |