| NPI | 1770077927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12269700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT216738) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-11-01 |