| NPI | 1316106222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: MA 254162) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 280924) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 254162) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2022-07-27 |