| NPI | 1760948780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 023890) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2020-02-25 |