NPI | 1326613316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12186900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT223133) |
Enumeration Date | 2021-05-23 |
Last Update Date | 2024-11-27 |