| NPI | 1619133873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 049645) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 249013) |
| 207R00000X Internal Medicine (Licence: NY 249013) | |
| 208000000X Pediatrics (Licence: NY 249013) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2013-11-22 |