| NPI | 1811080641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA79436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD426833) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-04-25 |