| NPI | 1750701959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 292735-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 292735-1) |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2022-09-01 |