| NPI | 1548953490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 330709) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 330709) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2026-03-17 |