| NPI | 1245315290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 242400) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MA 242400) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 208446) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2022-05-23 |