| NPI | 1518129030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 260663) |
| Additional Taxonomies | 174400000X Specialist |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 253942) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2018-01-19 |