| NPI | 1497136386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME150428) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10783200) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2024-12-05 |