| NPI | 1467654616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 248204) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2007-00844) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-03-07 |