| NPI | 1598788630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 219490) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C54612) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-03-17 |