NPI | 1972916278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA11194300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502065) |
207R00000X Internal Medicine (Licence: NJ 25MA11194300) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-04 |
Last Update Date | 2021-08-31 |