NPI | 1215084728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 127313) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ MA35496) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2007-07-08 |