| NPI | 1962537175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: NY 253907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 253907) |
| 2080S0010X Pediatrics, Sports Medicine (Licence: NY 253907) | |
| 207R00000X Internal Medicine (Licence: DE C1-0008458) | |
| 208000000X Pediatrics (Licence: DE C7-0002950) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-03-18 |