| NPI | 1821237520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08629500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 307979) |
| 207R00000X Internal Medicine (Licence: PA MD438773) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2022-07-21 |