| NPI | 1083829774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI 13002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240627) |
| 208000000X Pediatrics (Licence: NY 240627) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2014-11-13 |