| NPI | 1619319019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1022264) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 316422) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2026-01-22 |