| NPI | 1255541181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY MD290027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY MD290027) |
| 207R00000X Internal Medicine (Licence: PA MD438300) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-09-25 |