NPI | 1174838130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB09641000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 265560-1) |
Enumeration Date | 2010-08-15 |
Last Update Date | 2015-08-07 |