| NPI | 1720138407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 207226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 207226) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-07-05 |