| NPI | 1093913519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 256853) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 256853) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2012-03-21 |