| NPI | 1063456564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 13110) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 238826) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 238826) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-10-01 |