NPI | 1497108211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11785100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069008) |
Enumeration Date | 2016-07-16 |
Last Update Date | 2024-03-12 |