NPI | 1639304876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101257193) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09105800) |
207R00000X Internal Medicine (Licence: NY 289443) | |
Enumeration Date | 2009-05-18 |
Last Update Date | 2022-11-29 |