NPI | 1912241951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 262050) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB09537000) |
208M00000X Hospitalist (Licence: MA 26250) | |
Enumeration Date | 2012-11-15 |
Last Update Date | 2020-03-22 |