NPI | 1497243307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB11435900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 83756) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2025-09-24 |