| NPI | 1649267782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 200656) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: NY 200656) |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: NY 200656) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 200656) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2014-09-17 |