| NPI | 1952788739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 287411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 297846) |
| 208000000X Pediatrics (Licence: NY 297846) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2022-12-14 |