NPI | 1861049991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 26NJ00945300) |
Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NJ 26NJ00945300) |
Enumeration Date | 2019-08-22 |
Last Update Date | 2024-05-07 |