NPI | 1104908268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ MA76037) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA76037) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2014-07-31 |