NPI | 1770531873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA07917900) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 215077) |
207R00000X Internal Medicine (Licence: NJ 25MA07917900) | |
207R00000X Internal Medicine (Licence: NY 215077) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2024-06-17 |