| NPI | 1225065238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-44771) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 235652-1) |
| 207R00000X Internal Medicine (Licence: IA MD-44771) | |
| 207R00000X Internal Medicine (Licence: NY 235652-1) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2018-03-17 |