| NPI | 1700975133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 1719711) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 1719711) |
| 208000000X Pediatrics (Licence: NY 1719711) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-07-06 |