| NPI | 1730356627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD457876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08770800) |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2018-04-04 |