| NPI | 1942769286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS20901) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 339775) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2026-02-26 |