NPI | 1831394527 |
---|---|
Former Name | REBECCA ELLEN GORDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA09128200) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09128200) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2020-09-24 |