| NPI | 1467417667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 223275) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 215744) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2012-08-09 |