NPI | 1659721959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10537800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT210942) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2019-07-19 |