| NPI | 1073520540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: NY 232347) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 232347) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 232347) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-06-27 |