NPI | 1093760266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 178854-1) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA06188200) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA06188200) | |
Enumeration Date | 2006-05-24 |
Last Update Date | 2021-10-22 |