NPI | 1215939061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA07764500) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA 05007730-L) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2016-04-25 |