| NPI | 1639570146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 017975) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 17975) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2023-05-15 |