| NPI | 1972959864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 308864-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 266966) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-01-16 |