| NPI | 1053351064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 38133) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 232210) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-05-28 |