| NPI | 1538307160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 256658) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 238749) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2017-02-08 |