| NPI | 1396728465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 235637) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 235637) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-09-09 |