| NPI | 1043574494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085H0002X Radiology, Hospice and Palliative Medicine (Licence: NY 291672) |
| Additional Taxonomies | 2085R0001X (Licence: NY 291672) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2018-09-09 |