NPI | 1376037457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11854100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD473797) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2025-01-13 |