| NPI | 1811106669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08637000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188742) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-01-17 |