| NPI | 1871068981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 022728) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 022728) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2021-06-25 |