| NPI | 1609135946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A168958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 297947) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10541700) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA10541700) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 297947) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2021-09-09 |