| NPI | 1114487709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A193448) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 315066) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-04-18 |