| NPI | 1013392166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 167327) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 310192) |
| 261QR0206X Clinic/Center, Radiology, Mammography (Licence: NY 310192) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-04-29 |