NPI | 1194381038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 320441) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11715100) |
Enumeration Date | 2019-05-16 |
Last Update Date | 2025-09-08 |