| NPI | 1548466618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 268477) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT190438) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 250423) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2013-09-19 |