| NPI | 1528170198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 251710) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MA 157981) |
| 2085N0700X (Licence: MA 157981) | |
| 2085N0904X (Licence: MA 157981) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MA 157981) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 157981) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD462771) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA 157981) | |
| 2085R0205X Radiology, Radiological Physics (Licence: MA 157981) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MA 157981) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-12-20 |