| NPI | 1982866430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09058900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443807) |
| 207R00000X Internal Medicine (Licence: IN 01079182A) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-12-16 |