NPI | 1083703342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NY 202569) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 202569) |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 202569) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2009-10-19 |