NPI | 1619504966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 336312) |
Additional Taxonomies | 2085N0904X (Licence: NY 336312) |
Enumeration Date | 2020-03-26 |
Last Update Date | 2025-07-16 |