| NPI | 1578727434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME120921) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME120921) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 295096) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2021-07-27 |