| NPI | 1225089543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD018816E) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 113396) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |