| NPI | 1699715268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 120775) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G33604) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301086307) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 22796) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2013-08-16 |