NPI | 1659636967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10187700) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 278605) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2019-10-07 |