| NPI | 1346520848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 56659) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 15438) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2017-08-21 |