NPI | 1386684280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07944800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD426536) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2019-11-26 |