| NPI | 1871788273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 197284-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 197284) |
| Enumeration Date | 2007-09-09 |
| Last Update Date | 2014-03-07 |