NPI | 1992817662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11252500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI NR082706) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-05-22 |