| NPI | 1396972139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 287523) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME128700) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2018-05-25 |