| NPI | 1376870600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 249939) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 83323) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2025-11-13 |