| NPI | 1063531945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 239912) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0076713) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: ME MD18358) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD431376) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-12-17 |