| NPI | 1053412726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY P40808) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 247014) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-07-05 |