| NPI | 1215024393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 213819) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 213819) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-12-22 |