| NPI | 1912141904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 281937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A124854) |
| 208000000X Pediatrics (Licence: CA A124854) | |
| 208000000X Pediatrics (Licence: NY 281937) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2023-05-11 |