| NPI | 1053653733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 278797) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 286954) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2020-06-25 |