| NPI | 1447223169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A8182) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101017114) |
| 2085N0700X (Licence: NY 249473) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2017-02-17 |