NPI | 1720459381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 21020) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 21020) |
207R00000X Internal Medicine (Licence: NV 21020) | |
207R00000X Internal Medicine (Licence: NJ 25MA10772300) | |
Enumeration Date | 2015-10-08 |
Last Update Date | 2022-06-09 |