| NPI | 1750951687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 331678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 331678) |
| 208000000X Pediatrics (Licence: NY 331678) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-07-12 |