NPI | 1154508927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD442803) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD442803) |
207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA09365400) | |
208D00000X General Practice (Licence: PA MD442803) | |
Enumeration Date | 2008-01-23 |
Last Update Date | 2017-04-24 |