| NPI | 1841386893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 152125-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 152125-1) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-05-20 |