| NPI | 1639451438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 263938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09068900) |
| 207R00000X Internal Medicine (Licence: PA OSO15907) | |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2015-07-22 |