| NPI | 1649299074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D28771) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 291383) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-12-28 |