| NPI | 1528453982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 297927) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 297927) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2023-05-25 |