| NPI | 1831488170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D82961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0011072) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09584900) | |
| 207R00000X Internal Medicine (Licence: PA MD453527) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2017-05-12 |