| NPI | 1659528123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 277363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 277363) |
| 207R00000X Internal Medicine (Licence: MI 4301093138) | |
| 208000000X Pediatrics (Licence: MI 4301093138) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2020-09-24 |