| NPI | 1821268350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08842800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188075) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2011-01-25 |