NPI | 1003059866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09653300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD438045) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2025-02-14 |