| NPI | 1104056589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 275472) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NY 275472) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 275472) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 275472) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2015-03-25 |