NPI | 1407116452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD471307) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10444900) |
Enumeration Date | 2012-05-24 |
Last Update Date | 2021-03-25 |