| NPI | 1659373504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 232758) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 232758) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2014-01-30 |