| NPI | 1548098437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 338881-01) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 338881-01) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 3015865) | |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2025-11-13 |