| NPI | 1821416538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10009700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD465370) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2022-07-21 |