NPI | 1730143512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 233061) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08007200) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2007-07-08 |