| NPI | 1578552824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 272744) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 061855) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2022-04-28 |