| NPI | 1598753980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 053724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 234714) |
| 208000000X Pediatrics (Licence: NY 234714) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2015-02-02 |