| NPI | 1295981181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 247306) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 247306) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2013-02-20 |