| NPI | 1356764385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 302922) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ZZ 68540) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2022-04-20 |