| NPI | 1588658793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: NY 227243) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 227243) |
| 2085R0203X Radiology Therapeutic Radiology (Licence: NY 227243) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: NY 227243) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-07-08 |