| NPI | 1952960031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12300500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT217467) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2025-01-23 |