NPI | 1245502822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 50830) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446874) |
207R00000X Internal Medicine (Licence: NJ 25MA09187100) | |
Enumeration Date | 2012-01-30 |
Last Update Date | 2015-02-12 |