NPI | 1790885457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA051578) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD027380E) |
Enumeration Date | 2006-09-23 |
Last Update Date | 2010-10-18 |