| NPI | 1639149487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 153633) |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: NY 153633) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-08 |