NPI | 1013369552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA10896200) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2016-07-08 |
Last Update Date | 2022-07-11 |