NPI | 1538163928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07030000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA70300) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2023-04-26 |