| NPI | 1023097763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 043256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238204) |
| 208000000X Pediatrics (Licence: CT 043256) | |
| 208000000X Pediatrics (Licence: NY 238204) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-05-27 |