NPI | 1952348609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09614300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35087132) |
207R00000X Internal Medicine (Licence: PA MD429992) | |
Enumeration Date | 2006-06-01 |
Last Update Date | 2022-08-31 |