| NPI | 1568859957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 307016-01) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 282587) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2020-11-04 |