| NPI | 1851914238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 138775) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 138775) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |