NPI | 1356349187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA07494000) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA07494000) |
207Q00000X Family Medicine (Licence: NY 297712) | |
207Q00000X Family Medicine (Licence: PA MD466581) | |
207Q00000X Family Medicine (Licence: FL ME139685) | |
207Q00000X Family Medicine (Licence: MA 277926) | |
Enumeration Date | 2005-07-14 |
Last Update Date | 2019-10-22 |