| NPI | 1770600769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036136665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188193) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08621900) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-02-26 |