| NPI | 1841727294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD483956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10749100) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2024-06-12 |