| NPI | 1700470416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12240700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD479460) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD479460) | |
| 207R00000X Internal Medicine (Licence: IL 125.077191) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MT230043) | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-12-04 |