| NPI | 1215161666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 267059) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: NY 267059) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2023-09-14 |