NPI | 1073809422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11988900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME149255) |
207R00000X Internal Medicine (Licence: NY 276735) | |
Enumeration Date | 2011-06-23 |
Last Update Date | 2024-06-24 |