| NPI | 1790344257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB11581600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT019055) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-01-11 |