| NPI | 1205091329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 252927) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA C56171) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2021-11-29 |