| NPI | 1013409531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 310342) |
| Additional Taxonomies | 2085N0700X (Licence: MO 2023050269) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2023050269) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-12-05 |