| NPI | 1275883571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 284136) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CT 56272) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2024-01-17 |