| NPI | 1427584861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 334556-01) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 334556) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2025-11-10 |