| NPI | 1457324527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L8058) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 2281431) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2008-05-09 |