| NPI | 1548565690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 15902) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 259247) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2015-07-14 |