| NPI | 1609813336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 010158526) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 192024) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-12-11 |