| NPI | 1437150323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 252516-01) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 15899) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2024-04-02 |