NPI | 1811340813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 75066) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10274200) |
Enumeration Date | 2016-07-14 |
Last Update Date | 2021-12-20 |