| NPI | 1326200197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME119429) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 250140-1) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2014-08-07 |