| NPI | 1992878334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD052220l) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA00071469) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-01-31 |