| NPI | 1457500423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 264682) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101271517) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NY 264682-1) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2022-08-18 |