| NPI | 1922591098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11039200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT216323) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-06-16 |