| NPI | 1083794960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 334224) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MI 334224) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301069612) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2025-02-10 |