| NPI | 1013298348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME135876) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 242896) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2021-06-25 |