NPI | 1649539180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12050600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 279479) |
208000000X Pediatrics (Licence: NY 279479) | |
Enumeration Date | 2012-05-03 |
Last Update Date | 2024-03-18 |