| NPI | 1669906467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 301520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 301520) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL L4498F) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-07-22 |