| NPI | 1154539971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD436648) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 261625) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-07-06 |