NPI | 1780628503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08996300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036113609) |
207R00000X Internal Medicine (Licence: PA MD442990) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036113609) | |
Enumeration Date | 2006-06-15 |
Last Update Date | 2022-12-09 |