| NPI | 1003137522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 319044-01) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: NY 319044-01) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WI 63931) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IA MD-45617) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-05-09 |