| NPI | 1720643471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 319847) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 319847) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2024-07-02 |