NPI | 1649461930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MB08692500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 25719744) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2017-02-28 |