| NPI | 1225056492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: NY 144968) |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound (Licence: NY 144968) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NY 144968) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-07-03 |