NPI | 1922399070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10619100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271512) |
Enumeration Date | 2011-04-25 |
Last Update Date | 2024-11-12 |