| NPI | 1689866311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A90032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 244145) |
| 207R00000X Internal Medicine (Licence: NY 244145) | |
| 208000000X Pediatrics (Licence: CA A90032) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2021-12-01 |