| NPI | 1174534341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A87806) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 239960-1) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-05-16 |