| NPI | 1396806451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 54888) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 236671) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-11-11 |