| NPI | 1679983951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10411600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD461610) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10411600) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2018-08-06 |