| NPI | 1114051562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 301580-01) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D66151) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-04-15 |