| NPI | 1245243484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C175923) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 252084) |
| 208000000X Pediatrics (Licence: NY 252084) | |
| 208000000X Pediatrics (Licence: CA C175923) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2024-04-19 |