| NPI | 1083813638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C148986) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 3229) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2025-09-04 |