| NPI | 1053387100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 234436) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 234436-1) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2021-05-21 |