| NPI | 1669798609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME136420) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 262955-1) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2023-09-07 |