| NPI | 1285292789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 172V00000X Community Health Worker | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 18255) | |
| 224P00000X Prosthetist | |
| 246XS1301X Spec/Tech, Cardiovascular, Sonography | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |