| NPI | 1770075012 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11149800)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215259)  | 
| 207R00000X Internal Medicine (Licence: NJ 25MA11149800)  | |
| Enumeration Date | 2018-06-02 | 
| Last Update Date | 2022-01-21 |