| NPI | 1700410065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101277175) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 303312) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2023-09-07 |