| NPI | 1952404204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A80462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 246273) |
| 208000000X Pediatrics (Licence: NY 246273) | |
| 208000000X Pediatrics (Licence: CA A80462) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2023-03-07 |