| NPI | 1336177351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME126428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240837) |
| 208000000X Pediatrics (Licence: NY 240837) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-02-02 |