| NPI | 1710045828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 213523) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 213523) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-11-15 |