| NPI | 1578829669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 287715) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C192474) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-03-13 |