NPI | 1730295171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA05495800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD044318E) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2024-01-29 |