| NPI | 1790885457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA051578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD027380E) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2010-10-18 |