| NPI | 1962816397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 30394501) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 303945-01) |
| 2085B0100X Radiology, Body Imaging (Licence: NY 303945-01) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2026-01-28 |