| NPI | 1164609020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NY 246996) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 246996) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 246996) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |