| NPI | 1114900925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 184808) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 184808-1) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2023-03-24 |