NPI | 1720213366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO179357) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB09038900) |
Enumeration Date | 2009-05-27 |
Last Update Date | 2017-10-11 |