| NPI | 1285784017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MA 273762) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: NY 231369) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2022-11-21 |