| NPI | 1184622615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 199787) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0056755) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2024-04-04 |