| NPI | 1114187473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD439023) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 266228) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2015-10-07 |