NPI | 1073872073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09869900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09869900) |
208M00000X Hospitalist (Licence: NJ 25MA09869900) | |
Enumeration Date | 2012-05-10 |
Last Update Date | 2022-03-11 |