| NPI | 1295239069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 303713) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 99389) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-12-09 |