NPI | 1629575543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA12272000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 66760) |
Enumeration Date | 2018-04-08 |
Last Update Date | 2024-10-08 |