| NPI | 1619504966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2025-03514) |
| Additional Taxonomies | 2085N0904X (Licence: NY 336312) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 336312) | |
| 2085N0904X (Licence: NC 2025-03514) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-11-21 |