| NPI | 1699719369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 15732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS005158) |
| 207R00000X Internal Medicine (Licence: NJ 25MB04695500) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-03-07 |