NPI | 1639164486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07514800) |
Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25MA07514800) |
207P00000X Emergency Medicine (Licence: NJ 25MA07514800) | |
Enumeration Date | 2005-09-19 |
Last Update Date | 2023-04-12 |