| NPI | 1093913394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A102643) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 244993) |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2024-02-06 |