| NPI | 1598096745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 741993) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 241530) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2011-04-01 |