| NPI | 1750698171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD462543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA M.D.204150) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08888200) | |
| 207R00000X Internal Medicine (Licence: PA MD462543) | |
| 208M00000X Hospitalist (Licence: NJ 25MA08888200) | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2021-02-09 |