| NPI | 1801878491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10120600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247274) |
| 207R00000X Internal Medicine (Licence: PA MD423717) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2017-10-30 |