NPI | 1770075012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11149800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215259) |
207R00000X Internal Medicine (Licence: NJ 25MA11149800) | |
Enumeration Date | 2018-06-02 |
Last Update Date | 2022-01-21 |