NPI | 1710410121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ 25MA11146900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11146900) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA11146900) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2022-09-26 |