| NPI | 1518915990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 038533) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 213693-1) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-07-13 |