| NPI | 1174122709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 314398) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NY P104125) |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2022-02-24 |