| NPI | 1962030817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 329205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 329205) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-02-15 |