| NPI | 1669032330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB11398300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT019370) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2022-06-20 |