| NPI | 1548785140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 589674) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: NY 589674) |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: NY 589674) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |