| NPI | 1629077185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD429758) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 215545-1) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |