| NPI | 1043945801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 48010) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NY P114927) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY P114927) | |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2023-07-07 |