| NPI | 1437353067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A 116478) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 60 252459) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-12-04 |