| NPI | 1013972991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME164187) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07373700) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 220048) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-08-20 |