NPI | 1407918550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08195000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD430423) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2014-02-11 |