NPI | 1861511610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08153500) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA 268684) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2024-01-16 |