| NPI | 1447293865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 167342) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 167342) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-06-20 |