| NPI | 1205811759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101237975) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 235460) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0053638) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2021-06-25 |