| NPI | 1356583900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 259599) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: NY 259599) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2019-10-09 |