| NPI | 1588863070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 226367-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 226367-1) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2021-05-11 |