| NPI | 1518934629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 070047) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 212373) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2015-10-08 |