| NPI | 1720053788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 307977) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 307977-01) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-08-16 |