| NPI | 1346668332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 295506-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 295506-1) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2018-10-26 |