| NPI | 1649237439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME112126) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 234816) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-03-27 |