| NPI | 1518956150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 333679) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 039788) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2025-07-10 |