| NPI | 1700346475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A186876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 317420) |
| 208000000X Pediatrics (Licence: CA A186876) | |
| 208000000X Pediatrics (Licence: NY 317420) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-07-21 |