| NPI | 1538428800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 294178) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 294178-1) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2023-04-13 |