| NPI | 1912131582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 270763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 62855) |
| 208000000X Pediatrics (Licence: NY 270763) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2021-06-28 |