| NPI | 1790216745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11338100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD469905) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-03-07 |