| NPI | 1619268448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: NY 266209) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D83372) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NY 266209) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2019-02-27 |