| NPI | 1023290582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: NY 327894) |
| Additional Taxonomies | 2085N0700X (Licence: CA A110625) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A110625) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-16061) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2024-05-06 |