| NPI | 1477735165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 2644891) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT resident) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2018-04-10 |