| NPI | 1053687038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0064991) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 272471) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2020-08-24 |