| NPI | 1417150004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 101889) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 016565) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2007-07-08 |