| NPI | 1134461809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 293564-1) |
| Additional Taxonomies | 2085N0700X (Licence: NY 293564-1) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2026-01-15 |