NPI | 1740615566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11324600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285212) |
282N00000X General Acute Care Hospital | |
Enumeration Date | 2013-09-11 |
Last Update Date | 2022-01-21 |