| NPI | 1134390461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 234022) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08644100) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME105327) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 062993) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2009-01525) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD433953) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2010-05-26 |