NPI | 1013342807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09976500) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2013-09-11 |
Last Update Date | 2024-04-30 |