| NPI | 1649462524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 282865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50408) |
| 208000000X Pediatrics (Licence: MN 50408) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2019-09-04 |