| NPI | 1639676844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 315708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 315708) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2022-06-02 |