| NPI | 1356019939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 329462) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1027026) |
| 208000000X Pediatrics (Licence: NY 329462) | |
| 207R00000X Internal Medicine (Licence: MA 1027026) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2026-06-24 |