| NPI | 1770920837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 294848-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 294848-1) |
| 208000000X Pediatrics (Licence: NY 294848-1) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-07-13 |