NPI | 1336597905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11051900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD468253) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2024-01-02 |