| NPI | 1497708861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 204224) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CT 053923) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-08-04 |