| NPI | 1235454042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 277690) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 54966) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2016-03-11 |