| NPI | 1194026427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 194126) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G83908) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |