| NPI | 1497735500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 236881) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 236881) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2009-03-30 |