NPI | 1598054165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09160900) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NJ 25MA09160900) |
207R00000X Internal Medicine (Licence: NY 260786-1) | |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 260786-1) | |
Enumeration Date | 2011-04-04 |
Last Update Date | 2024-05-03 |