| NPI | 1265452429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: NY 000144) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 000144) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-08-21 |