| NPI | 1649917014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography (Licence: NY 347149) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 022496) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |