| NPI | 1598879801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 81541) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 236988) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2021-05-18 |