| NPI | 1659545234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 250648) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 250080) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2017-12-18 |