| NPI | 1134400997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 273235) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2017-05-09 |