| NPI | 1821043175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD420068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11411600) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-05-27 |